MODERN PODIATRIC CARE P.C (NPI# 1023299674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023299674 |
| Entity Type | Organization |
| Organization Name | MODERN PODIATRIC CARE P.C |
| Practice Address |
9204 Springfield Blvd Queens Village NY 11428-1857 |
| Mailing Address |
11620 190th St Saint Albans NY 11412-3132 |
| Practice Telephone | 7184653040 |
| Mailing Telephone | 7184653040 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2009-01-05 |
| Authorized Official Name | MICHAEL C. NWAKANMA (PHYSICAN) |
| Authorized Official Telephone | 7184653040 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 005629 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01984110 | 05 |
| Street Address |
9204 SPRINGFIELD BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11428-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760579262 | Michael Chinedu Nwakanma | Podiatrist | 9204 Springfield Blvd, Queens Village, NY 11428-1857 | 2006-10-06 |
| 1730708439 | Stephanie Lai | Dietitian, Registered | 9204 Springfield Blvd, Queens Village, NY 11428-1857 | 2020-04-13 |
| 1487206991 | Candace Nicoleau | Nurse Practitioner | 9204 Springfield Blvd, Queens Village, NY 11428-1857 | 2019-07-15 |
| 1164614590 | Queens Village Primary Medical Care, Pllc | Clinic/Center | 9204 Springfield Blvd, Queens Village, NY 11428-1857 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770117574 | Introgen, Inc. | Durable Medical Equipment & Medical Supplies | 212-27 Jamaica Ave, Queens Village, NY 11428 | 2020-03-02 |
| 1972084366 | State of New York Comptrollers Office | Clinic/Center | Fineson Ddsoo Clinic, 80-45 Winchester Blvd Bldg 80, Queens Village, NY 11428 | 2018-08-24 |
| 1083108674 | Patricia Ngozi Okoye-oyibo | Licensed Practical Nurse | Home Care At Its Best Inc., 221-21 Jamaica Ave, Queens Village, NY 11428 | 2018-06-18 |
| 1497278782 | Jea Early Intervention Services | Early Intervention Provider Agency | 93-46 215 Street, Queens Village, NY 11428 | 2017-07-19 |
| 1649790569 | Super Tech Wheelchair Service and Repair Inc | Durable Medical Equipment & Medical Supplies | 9420 210th Street, Queens Village, NY 11428 | 2017-06-21 |
| 1003368861 | Anr Homecare Services, LLC | Home Health | 217-02 Jamaica Avenue 2nd Fl, Queens Village, NY 11428 | 2016-10-27 |
| 1619426327 | Chinedu Ogueri | Licensed Practical Nurse | 9220 216 Th St, Queensvillage, NY 11428 | 2016-09-23 |
| 1083168520 | Mma Shukur | Registered Nurse | 9111 218th St, Queens Village, NY 11428 | 2016-08-13 |
| 1548631880 | Randall Ramnarain | Pharmacist | 102-05 Jamaica Ave, Richmond Hill, NY 11428 | 2015-10-13 |
| 1265809172 | Jackie R. Chessen Consulting | Early Intervention Provider Agency | 221-17 91 Road, Queens Village, NY 11428 | 2015-08-26 |
| Find all providers in zip 11428 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760579262 | Michael Chinedu Nwakanma | Podiatrist | 9204 Springfield Blvd, Queens Village, NY 11428-1857 | 2006-10-06 |
| 1386640431 | Steven J. Ginsberg II | Podiatrist | 218-11 Jamaica Ave, Queens Village, NY 11428-2124 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11428 |
Please comment or provide details below to improve the information on MODERN PODIATRIC CARE P.C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.